| NPI | 1154522332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 05689921) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 05689921) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2013-01-30 |